HR Best Practices

Containing Health costs through Data Mining

Costs Get More Scrutiny

Soaring Health Costs Get More Scrutiny and companies are resorting to audits to spot ineligible people who are tapping into employee benefits. by Evelyn Lee

As health care costs continue to spiral upward, New Jersey employers are taking a hard look at their health insurance plans. In particular, companies are going after employees or dependents who are not eligible to be on those plans, but can account for a sizable portion of a firm’s health care expenses, benefits experts say. Continued.

HRBP In the News!

NEWSFLASH: Subrogation specialists “estimate that between 1% and 3% of health-care spending is potentially recoverable to the health plan.” Wall Street Journal, November 20, 2007 Read More (subscription required) - Learn More about Subrogation

Differentiators

Change Agents
Independence
Comprehensiveness
Technology

Audit Working Spouses

Removing working spouses or adding a spousal surcharge provision provides greater savings than a dependent audit.

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Customer Quote

AVP HR (publicly traded retailer)

“We have saved at least $200,000 a year – you find things that really add up. Our health plan was being used as the primary payer for several of the company’s Medicare-eligible employees. The audit also uncovered a costly weakness in plan redesign. Terminated employees were running up significant claims before their coverage expired.”